Titanium alloy contact ring element having low modulus and large elastic elongation

ABSTRACT

A method of forming a medical device contact element includes annealing an elongated rod of Ti-15Mo alloy material to form an annealed rod having a Young&#39;s Modulus of less than 13.5 Mpsi and an elastic range or strain of at least 0.7%. Then forming a contact ring element from the annealed rod and assembling the contact ring element into a medical device. Contact rings and lead receptacles including the same are also described.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a continuation application of U.S. patentapplication Ser. No. 15/609,142, filed May 31, 2017, which is acontinuation application of U.S. patent application Ser. No. 14/640,469,filed Mar. 6, 2015, now U.S. Pat. No. 9,694,173, which claims priorityto U.S. Provisional Patent Application Ser. No. 61/949,343, filed Mar.7, 2014, the disclosures of which are incorporated herein by referencein their entirety.

BACKGROUND

Implantable electrical signal generators, such as pacemakers,defibrillators, neurostimulators, and the like, have been used to treata variety of diseases. Such devices generate electrical signals that aretransferred to a patient's tissue through electrodes disposed on adistal end portion of a lead. The proximal end portion of a leadtypically contains a number of connector rings corresponding to thenumber of electrodes. Conductors run within and along the lead body andelectrically couple the connectors to the electrodes. The proximal endportion of the lead is inserted into lead receptacle of a signalgenerator such that electrical contact is made between discrete contactsin the receptacle and the connector rings of the lead.

The contacts of the receptacle typically include a garter spring withina ferrule. The ferrule is typically electrically coupled to afeedthrough that provides electrical coupling with electronics of thedevice. The garter spring contacts a contact ring of a lead,electrically coupling the lead to the device electronics via the ferruleand feedthrough. While such lead receptacle contacts have been proven toperform very well over time, garter rings are difficult to manufactureand must provide two contacts for proper electrical connection: onecontact with the lead connector ring, and the other with the ferrule.Further, because of the spring configuration, the spring contacts thelead connector ring and the ferrule at multiple points, with eachseparate contact resulting in increased electrical resistance. Suchresistance could result in undesirably large power consumption.Improvements with these contact elements are desired.

SUMMARY

The present disclosure relates to a contact element formed of a titaniumalloy that has a low modulus and large elastic elongation or largeelastic recovery. This titanium alloy provides a reduced insertion forceand extended elastic range when utilized in a medical device leadconnector contact ring element. Methods of forming the contact ringelement are also disclosed.

In one illustrative embodiment, a method of forming a medical devicecontact element includes annealing an elongated rod of Ti-15Mo alloymaterial to form an annealed rod having a Young's Modulus of less than13.5 Mpsi and an elastic range of at least 0.7%. Then forming a contactring element from the annealed rod and assembling the contact ringelement into a medical device.

In another illustrative embodiment, a contact ring element forelectrically coupling a medical lead to an implantable medical device,includes a tubular body defining a cavity configured to receive a leadand a plurality of resiliently deflectable elements extending from thetubular body in to the cavity, and each of the resiliently deflectableelements having a lead contacting portion configured to contact a leadthen the lead is received in the cavity. The resiliently deflectableelements are formed of a Ti-15Mo alloy material having a Young's Modulusof less than 13.5 Mpsi and an elastic range of at least 0.7%.

In a further illustrative embodiment, a lead connector or leadreceptacle for electrically coupling a medical lead to an implantablemedical device includes a contact ring element as described herein andan insulating ring axially aligned with the contact ring element.

These and various other features and advantages will be apparent from areading of the following detailed description.

BRIEF DESCRIPTION OF THE DRAWINGS

The disclosure may be more completely understood in consideration of thefollowing detailed description of various embodiments of the disclosurein connection with the accompanying drawings, in which:

FIG. 1 is a schematic diagram of an exploded view of a representativeimplantable active electrical device and associated lead and extension;

FIG. 2 is a schematic diagram of a side view of an active implantablemedical device with representative internal components shown in dashedlines;

FIG. 3 is a schematic cut away side view of an illustrative leadconnector or lead receptacle of the device depicted in FIG. 2 withrepresentative internal components shown in dashed lines;

FIG. 4 is a schematic diagram of a perspective view of an illustrativeembodiment of an electrical contact ring;

FIG. 5 is a schematic diagram of a perspective view of anotherillustrative embodiment of an electrical contact ring;

FIG. 6 is a graph of Stress versus Strain (or elastic range) of anTi-15Mo alloy annealed at 750 degrees centigrade for 15 min and thenwater quenched; and

FIG. 7 is a flow diagram of an illustrative method of forming a medicaldevice contact element.

DETAILED DESCRIPTION

In the following detailed description, reference is made to theaccompanying drawings that form a part hereof, and in which are shown byway of illustration several specific embodiments. It is to be understoodthat other embodiments are contemplated and may be made withoutdeparting from the scope or spirit of the present disclosure. Thefollowing detailed description, therefore, is not to be taken in alimiting sense.

All scientific and technical terms used herein have meanings commonlyused in the art unless otherwise specified. The definitions providedherein are to facilitate understanding of certain terms used frequentlyherein and are not meant to limit the scope of the present disclosure.

Unless otherwise indicated, all numbers expressing feature sizes,amounts, and physical properties used in the specification and claimsare to be understood as being modified in all instances by the term“about.” Accordingly, unless indicated to the contrary, the numericalparameters set forth in the foregoing specification and attached claimsare approximations that can vary depending upon the properties sought tobe obtained by those skilled in the art utilizing the teachingsdisclosed herein.

The recitation of numerical ranges by endpoints includes all numberssubsumed within that range (e.g. 1 to 5 includes 1, 1.5, 2, 2.75, 3,3.80, 4, and 5) and any range within that range.

As used in this specification and the appended claims, the singularforms “a”, “an”, and “the” encompass embodiments having pluralreferents, unless the content clearly dictates otherwise. As used inthis specification and the appended claims, the term “or” is generallyemployed in its sense including “and/or” unless the content clearlydictates otherwise.

As used herein, “have”, “having”, “include”, “including”, “comprise”,“comprising” or the like are used in their open ended sense, andgenerally mean “including, but not limited to”. It will be understoodthat “consisting essentially of”, “consisting of”, and the like aresubsumed in “comprising,” and the like.

As used herein, “active implantable electrical device” or the likerefers to a device that is capable of generating, sending or receivingan electrical signal via a medical lead.

As used herein, “tubular” means having the shape and configuration of atube. “Tube”, as used herein means a hollow object having a body and acavity extending through the body. A tube may take any suitable shape,such as a cylinder, a cuboid, or the like.

The present disclosure relates to a contact element formed of a titaniumalloy that has a low modulus and large elastic elongation. The titaniumalloy can be a beta-titanium alloy such as a Ti-15Mo alloy for example.This titanium alloy provides a reduced insertion force and extendedelastic range when utilized in a medical device lead connector or leadreceptacle contact ring element. Methods of forming the contact ringelement are also disclosed. The contact ring element can be a tubularelement that includes a plurality of resiliently deflectable elementsthat are formed of the titanium alloy material having a Young's Modulusof less than 13.5 Mpsi or less than 13 Mpsi or less than 12.5 Mpsi orless than 12 Mpsi while having an elastic range of at least 0.7% or atleast 0.8% or at least 0.9% or at least 1% or at least 1.1% or at least1.2% or an elastic range upper value in a range from 1 to 2%. Thesephysical properties of the resiliently deflectable elements provides forunique features when utilized in a lead receptacle for a medical device.For example, a lead receptacle having these contact elements has areduced lead insertion force into the lead receptacle thus, a lead canbe easily inserted the lead receptacle. At the same time the resilientlydeflectable elements securely contact the lead body and elastically moverelative to inserting and removing the lead from the lead receptacle. Inother words, the resiliently deflectable elements do not plastically orpermanently deform upon insertion of the lead into the lead receptacle.In many embodiments these contact ring elements are monolithic or“one-piece” elements. While the present disclosure is not so limited, anappreciation of various aspects of the disclosure will be gained througha discussion of the examples provided below.

FIG. 1 is a schematic diagram of an exploded view of a representativeimplantable active electrical device and associated lead and extension.FIG. 2 is a schematic diagram of a side view of an active implantablemedical device with representative internal components shown in dashedlines. FIG. 3 is a schematic cut away side view of an illustrative leadreceptacle of the device depicted in FIG. 2 with representative internalcomponents shown in dashed lines.

Referring to FIG. 1, a schematic of an exploded view of a representativeimplantable medical device system 100 in which the annealed Ti alloymaterial contact ring element may be employed is shown. The system 100includes an implantable active electrical device 10, and a lead 20operably couplable to active electrical device 10. Active electricaldevice 10 may be any electrical signal generator or receiver useful fordelivering therapy to a patient or for patient diagnostics. For example,active electrical device 10 may be a hearing implant; a cochlearimplant; a sensing or monitoring device; a signal generator such as acardiac pacemaker or defibrillator, a neurostimulator (such as a spinalcord stimulator, a brain or deep brain stimulator, a peripheral nervestimulator, a vagal nerve stimulator, an occipital nerve stimulator, asubcutaneous stimulator, etc.), a gastric stimulator; or the like. Asshown in FIG. 1, the system 100 may include a lead extension 30 or otheradaptor to couple lead 20 to active electrical device 10. While notshown, it will be understood that more than one lead 20 may be operablycoupled to one active electrical device 10 or one extension 30 or thatmore than one extension 30 may be operably coupled to one activeelectrical device 10. It will also be understood that lead 20 may becoupled to active electrical device 10 without extension 30 or adaptor.

Active electrical device 10 may include a connector header 40 forconnecting to lead 20 or extension 30 or other adaptor to couple lead 20to active electrical device 10. In the embodiment depicted in FIG. 1,the connector header 40 is configured to receive a proximal connectorportion 50 of a lead extension 30. The extension 30 includes a distalconnector 60 configured to receive proximal end of lead 20. Distalconnector 60 has internal electrical contacts 70 configured toelectrically couple extension 30 to lead 20 via electrical contacts 80disposed on the proximal end portion of lead 20. Electrodes 90 aredisposed on distal end portion of lead 20 and are electrically coupledto electrical contacts 80, typically through conductors (not shown)within the body of the lead 20. Lead 20 may include any number ofelectrodes 90, e.g. one, two, three, four, five, six, seven, eight,sixteen, thirty-two, or sixty-four. Typically, each electrode 90 iselectrically coupled to a discrete electrical contact 80. For thepurposes of the remainder of this disclosure, “lead” and “leadextension” are used interchangeably.

Referring now to FIG. 2, a schematic side view of a representativeactive implantable electrical device 10 is shown, with selected internalcomponents shown in dashed lines. The device 10 includes a header 40having a lead receptacle or lead receptacle 42 extending therein. Thelead receptacle 42 is configured to receive a proximal portion of alead, extension or adaptor. The receptacle 42 includes one or moreelectrically conductive portions or contact ring elements (not shown)configured to electrically couple with proximal contacts 80 of a lead 20or lead extension. The conductive portions are electrically coupled toelectronics 15 disposed within hermetically sealed device housing 11.Hermetically sealed electrical feedthroughs 18 may be used to coupleconductive portions of the receptacle 42 to the electronics 15. In thedepicted embodiment, the electronics 15 are operably coupled to a powersource 12, such as a battery, capacitor, or the like. The header 40 maybe attached to hermetically sealed housing 11 of device 10 by, forexample, fasteners, adhesives, welds, or the like.

In some embodiments (not shown), the lead receptacle 42 extends within ahermetically sealed housing 11. In such embodiments, device 10 may notinclude a header 40 and feedthroughs 18. Any suitable hermeticallysealed receptacle may be employed in such embodiments, such as thosedescribed in U.S. Pat. No. 7,711,428 B1, entitled “Hermetic LeadConnector Assembly”, which is hereby incorporated herein by reference inits entirety to the extent that it does not conflict with the disclosurepresented herein.

In FIG. 3, schematics of a cut away side view of an embodiment of aheader 40 of FIG. 2 are shown. In the depicted embodiment, exteriorportions of the lead receptacle are shown. In FIG. 3, dashed linesrepresent bores 210, 220 formed in set screw block 200. The receptacleincludes alternating conductive 150 and insulating 160 ring sections.The conductive sections 150 are positioned such that when a lead isinserted into the receptacle, a contact on proximal portion may beelectrically coupled with a conductive section 150. The conductivesections 150 of the receptacle are electrically coupled to feedthroughs18 that couple the conductive sections 150 to electronics of the device.Set screw block 200 of the receptacle may be fixed relative to housing45. The lead receptacle may include an end cap 170. End cap 170 may fitsnuggly against housing 45 or other feature such that an axiallycompressive force is applied to the receptacle. Set screw block 200defines a lead receiving bore 220 and a second bore 210 configured toreceive a set screw. The second bore 210 is generally perpendicular toand intersects with the lead receiving bore 220. In the depictedembodiment, set screw block 200 is conductive and is electricallycoupled to a feedthrough 18 that serves to electrically couple the block200 to electronics of the device.

While the lead receptacle depicted in FIG. 3, include a set screw block,it will be understood that any mechanism for retaining a lead other thana set screw may be employed. It will also be understood that the leadreceptacles described herein are applicable to devices having headersthat are not fully enclosed by a housing. Such headers are well knownand are typically open-faced. Lead receptacles are typically sealed tosuch header housings with medical adhesive and are back-filled withmedical polymeric material, such as silicone, to provide a seal betweenthe electrically conductive portions of the lead receptacle and tissueor fluid of a patient when implanted.

FIG. 4 is a schematic diagram of a perspective view of an illustrativeembodiment of an electrical contact ring 300. FIG. 5 is a schematicdiagram of a perspective view of another illustrative embodiment of anelectrical contact ring 300.

Referring now to FIGS. 4-5, representative embodiments of one-pieceelectrical connector contact rings or contact ring elements 300 that mayserve as conductive portions 150 of a lead receptacle are shown. Thedepicted contact rings 300 include a tubular body 310 defining a cavity320 extending through the body 310. The cavity 320 is configured toreceive a lead. The contact ring 300 includes a plurality resilientlydeflectable elements 330. The deflectable elements 330 have leadcontacting portions 335 configured to contact a contact of a lead whenthe lead is inserted into the cavity 320. The lead contacting portions335 of the deflectable elements 330, in a relaxed state, are located ina plane 900 that intersects the tubular body 310. The lead contactingportions 335 are configured to deflect along the plane 900 towards thetubular body 320 as the lead is inserted in the cavity 320. As shown inFIG. 4, the plane 900 may be orthogonal to the central axis 910 of thecavity 320. The dashed lines on the tubular body 310 and contactingportions 335 of the deflectable elements 330 shown in FIG. 4 depict thelocation of intersection of the plane 900.

In FIG. 5, the deflectable members 330 extend into the cavity 320 in anon-radial manner (in a direction not along a radius). As a lead isinserted into the cavity 320 of contact 300, elements 330 deflectoutwardly (relative to axial center of contact 300) in a non-radialmanner in the depicted embodiment. While portions of the elements 330,such as lead contacting portion 335, may deflect outwardly in a radialmanner, the overall element 310 is configured to deflect non-radiallywhen a lead is inserted. That is, the sum total of vectors of deflectionalong the length of an element 330 is non-radial. As used herein,“non-radial” with regard to outward deflection means deflection in adirection other than along a line defined by a radius.

As shown in FIG. 5, the lead contacting portions 335 of deflectableelements 300, in a relaxed state, are located along a circumference ofan imaginary circle concentric with the tubular body 310. The imaginarycircle has a diameter that is smaller than the outer diameter of theportion of the lead that the lead contact portions 335 are configured tocontact. As the lead is inserted, the elements 330 deflect outwardly(relative to axial center of contact ring 300) to accommodate insertionof the lead. The resilient nature of the deflectable elements 330 biasesthe contacting portions 335 toward the circumference of the imaginarycircle, forcing the contacting portions 335 against the inserted lead.Of course, if the contact of the lead, with which the lead contactingportions 335 are configured to contact, have an exterior shape differentfrom a cylinder (e,g, cuboid), the lead contacting portions 335 may beconfigured to located along an imaginary shape (e.g., rectangle) similarin shape to the contact of the lead.

The deflecting elements 330 shown in FIGS. 4 and 5 are arcuate orsubstantially arcuate. The deflected elements may be generally linear.However, it will be understood that deflecting elements 330 may be ofany suitable shape. Useful contact ring elements are described in inU.S. 2010/0063555, entitled “ELECTRICAL CONTACT FOR IMPLANTABLE MEDICALDEVICE”, which is hereby incorporated herein by reference in itsentirety to the extent that it does not conflict with the disclosurepresented herein.

In various embodiments, the contact rings are monolithic (formed from asingle material without joints or seams). Such monolithic contact rings(which can be of any suitable size, e.g. as described above) may improvethe electrical properties of the contact ring relative to other contactrings, which employ a variety of materials or which require welding orother coupling between parts. By employing the same seamless materialthroughout, electrical resistance due to flow of electrons between thejunctions of differing materials can be reduced, which canadvantageously reduce the power requirement of devices employing thecontact rings.

Contact rings 300 as described herein may be of any suitable size foruse in implantable medical devices. For example, the contact rings 300may have a thickness (axial length) between about 0.10 inches (2.5millimeters) and about 0.01 inches (0.25 millimeters). In someembodiments, the contact rings 300 have a thickness of between about0.75 inches (2 millimeters) and about 0.025 inches (0.6 millimeters);e.g., about 0.05 inches (1.2 millimeters). In numerous embodiments,contact rings 300 have a thickness that is approximately the same as thethickness of a ring contact of a lead to which the contact ring 300 isto be electrically coupled. The contact rings 300 may be of any suitableinner and outer diameter. For example, the contact rings 300 may have anouter diameter of between about 0.200 inches (5 millimeters) and 0.05inches (1.2 millimeters). In some embodiments, the contact rings 300have an outer diameter of about 0.1 inches (2.5 millimeters) or about0.11 inches (2.8 millimeters). Generally, the inner diameter of thecontact rings 300 (or the diameter formed by lead contacting portions335 of the deflectable elements 330) is suitable for insertion of alead.

The deflectable elements 330 of the contact rings 300 may have anysuitable length and thickness, which may vary depending on the materialfrom which they are formed. The length will vary depending on the outerdiameter of the ring and desired inner diameter formed from leadcontacting portions 335 of the deflectable elements 330. In variousembodiments, the deflectable elements 330 may have a thickness ofbetween about 0.01 inches (0.25 millimeters) and about 0.001 inches(0.025 millimeters). In some embodiments, the deflectable elements 330may have a thickness of between about 0.006 inches (0.15 millimeters)and about 0.002 inches (0.05 millimeters). The thickness of thedeflectable elements 330 may be substantially the same along the lengthof the element or may vary along the length of the element. In someembodiments, the element 330 is thicker at the base and thinner at thelead contacting portion 335.

It will be understood that a contact ring 300 may include any suitablenumber of deflectable elements 330. For example, a contact ring may havebetween 1 and 100 or more deflectable elements. In some embodiments, thecontact ring has between 3 and 6 or between 4 and 5 deflectableelements. All other thing being equal, the smaller the number ofdeflectable elements, the less force required to insert a lead throughthe cavity of the contact ring. However, if the insertion force is toolow, the quality of electrical contact between the lead and thecontacting portions of the deflectable elements may be poor. That is,greater resilient force pressing against the lead may lead to betterquality and more reliable electrical contact, but may also result ingreater insertion force. The number of deflectable elements included ina ring contact may be varied to achieve a desirable balance betweenquality and reliability of electrical contact and insertion force. Inaddition, it may be desirable to decrease the number of contact pointsbetween the lead and the contact ring, as each point of contact mayincrementally increase electrical resistance. Thus, in some embodiments,the lowest number of deflectable element that can provide high qualityand reliable electrical contact with the lead is employed.

Contact rings 300 as described herein may be formed by any suitableprocess. For example, various components may be machined, or otherwiseformed. In various embodiments, contact rings are formed by removing asolid portion of a cylinder to form the ring contact. These cylinderscan be formed by dividing them from an elongated rod of material such asthe annealed titanium alloy described below.

Any suitable method may be used to remove appropriate portion(s) of thecylinder. For example, electrical discharge machining, laser cutting,water jet cutting, photo-etching, or the like may be used to removeappropriate portion(s) of the cylinder. One example of electricaldischarge machining that may be employed is wire electrical dischargemachining; e.g., with a 0.004 inch wire.

FIG. 6 is a graph of Stress versus Strain (or elastic range) of anTi-15Mo alloy annealed at 750 degrees centigrade for 15 min and thenwater quenched. FIG. 7 is a flow diagram of an illustrative method 700of forming a medical device contact element 300.

Applicants have discovered that annealing a specific titanium alloy to aspecific temperature range and time interval and then quickly cooling orquenching provides a material that has a low modulus and large elasticelongation as illustrated in FIG. 6. This material is particular usefulas resiliently deflectable elements of the contact ring describedherein.

A method of forming a medical device contact element includes annealingan elongated rod of Ti-15Mo alloy material to form an annealed rodhaving a Young's Modulus of less than 13.5 Mpsi and an elastic range ofat least 0.7%. Then forming a contact ring element from the annealed rodand assembling the contact ring element into a medical device.

The term “Ti-15Mo” refers to a metastable beta-titanium alloy thatincludes about 15 weight percent molybdenum. Ti-15Mo material usuallyhas a Young's Modulus of 15 Mpsi or greater and an elastic range of 0.6%or less and a tensile yield strength of about 120 kpsi. The physicalproperties described herein are determined using ASTM methods.

Cylinders of Ti-15Mo material can be formed by dicing up an elongatedrod of Ti-15Mo material to the appropriate thickness as described above.The elongated rod and corresponding cylinders of material can have anyuseful diameter as described above, such as 2 mm or greater or 3 mm orgreater or 4 mm or greater or less than 10 mm or less than 7 mm or lessthan 5 mm. The contact ring elements having a tubular body defining acavity and a plurality of resiliently deflectable elements extendinginto the cavity can then be formed as described above. Lead connectorsor lead receptacles can be formed by axially aligning one or more of thecontact ring elements with one or more electrically insulating ringelements and disposing the lead connectors or lead receptacles into amedical device.

FIG. 6 is a graph of Stress versus Strain (or elastic range) of anTi-15Mo alloy annealed at 750 degrees centigrade for 15 min and thenwater quenched. However similar physical properties have been producedin Ti-15Mo material by annealing at a temperature in a range from 725degrees centigrade to 775 degrees centigrade for a time from 5 to 30minutes or from 5 to 20 minutes for a rod with cold work between 45% to90% prior annealing. One particularly useful annealing process includesannealing the Ti-15Mo rod in a range from 740 to 750 degrees centigradefor 10 to 20 minutes or about 15 minutes immediately followed by a waterquench to quickly cool the annealed rod and prevent the formation of ametastable omega (w) phase. Cooling the rod from the annealingtemperature to room temperature (about 24 degrees centigrade) in lessthan 24 seconds or less than 20 seconds aids in reducing or preventingthe formation of a metastable phase.

One important factor is the quick quench of the heated Ti-15Mo material,as described above. For example the heated Ti-15Mo material can be waterquenched and prevent the formation of alpha and/or omega metastablephase material in the Ti-15Mo material. For example the annealed Ti-15Momaterial has less than 3 weight percent alpha-phase titanium, or lessthan 2.5 weight percent alpha-phase titanium, or less than 2 weightpercent alpha-phase titanium, or in a range from 0.1 to 3 weight percentalpha-phase titanium, or in a range from 0.1 to 2 weight percentalpha-phase titanium.

The annealed Ti-15Mo material has a Young's Modulus of less than 13.5Mpsi or less than 13 Mpsi or less than 12.5 Mpsi or less than 12 Mpsiwhile having an elastic range or strain of at least 0.7% or at least0.8% or at least 0.9% or at least 1% or at least 1.1% or at least 1.2%.In many embodiments the annealed Ti-15Mo material has an elastic rangeupper value or strain value in a range of 1 to 2%. in a range of 1.2 to2.0%. The annealed Ti-15Mo material has a mean average grain size valueof less than 30 micrometers or in a range from 1 to 30 micrometers or ina range from 5 to 20 micrometers.

These physical properties of the resiliently deflectable elementsprovides for unique features when utilized in a lead receptacle for amedical device. For example, a lead connector or receptacle having thesecontact elements has a reduced lead insertion force into the leadreceptacle thus, a lead can be easily inserted the lead receptacle. Atthe same time the resiliently deflectable elements securely contact thelead body and elastically move relative to inserting and removing thelead from the lead receptacle. In other words, the resilientlydeflectable elements do not plastically or permanently deform uponinsertion of the lead into the lead receptacle.

Referring to FIG. 7 is a flow diagram of an illustrative method 700 offorming a medical device contact element 300. The method includesannealing a rod of titanium alloy at block 710, then forming a contactring element from the annealed rod at block 720, and then assembling thecontact ring element into a medical device at block 730. The method canfurther include a cold draw or cold roll prior to annealing. Thetitanium alloy can be the Ti-15Mo material described above and theannealing processing parameters are described above to achieve thephysical properties described above.

Thus, embodiments of the TITANIUM ALLOY CONTACT RING ELEMENT HAVING LOWMODULUS AND LARGE ELASTIC ELONGATION are disclosed. All references andpublications cited herein are expressly incorporated herein by referencein their entirety into this disclosure, except to the extent they maydirectly contradict this disclosure. Although specific embodiments havebeen illustrated and described herein, it will be appreciated by thoseof ordinary skill in the art that a variety of alternate and/orequivalent implementations can be substituted for the specificembodiments shown and described without departing from the scope of thepresent disclosure. This application is intended to cover anyadaptations or variations of the specific embodiments discussed herein.Therefore, it is intended that this disclosure be limited only by theclaims and the equivalents thereof. The disclosed embodiments arepresented for purposes of illustration and not limitation.

What is claimed is:
 1. A contact ring element for electrically couplinga medical lead to an implantable medical device, comprising: a tubularbody defining a cavity configured to receive a lead and an outerdiameter between 1.2 mm and 5 mm; and a plurality of resilientlydeflectable elements extending from the tubular body into the cavity,each of the resiliently deflectable elements having a lead contactingportion configured to contact a lead when the lead is received in thecavity, wherein the resiliently deflectable elements are formed of aTi-15Mo alloy material having a Young's Modulus of less than 13.5 Mpsiand an elastic range or strain of at least 0.7%.
 2. The contact ringelement according to claim 1 wherein the tubular body and the pluralityof resiliently deflectable elements form a monolithic contact ringelement.
 3. The contact ring element according to claim 1 wherein theTi-15Mo alloy material has a Young's Modulus of less than 12 Mpsi and anelastic range or strain of at least 0.9%.
 4. The contact ring elementaccording to claim 1 wherein the Ti-15Mo alloy material has 3% or lessalpha-phase titanium.
 5. The contact ring element according to claim 4wherein the tubular body is formed of the Ti-15Mo alloy material havinga Young's Modulus of less than 12 Mpsi and an elastic range upper valueor strain value in a range of 1.2 to 2.0%.
 6. The contact ring elementaccording to claim 1 wherein the tubular body is formed of the Ti-15Moalloy material having a mean average grain size of less than 30micrometers.
 7. The contact ring element according to claim 1 whereinthe tubular body has an outer diameter between 2.5 mm and 2.8 mm.
 8. Thecontact ring element according to claim 1 wherein the tubular body has athickness between 0.25 mm and 2.5 mm.
 9. The contact ring elementaccording to claim 1 wherein the tubular body is formed of the Ti-15Moalloy material having a mean average grain size of up to 20 micrometers.10. A contact ring element for electrically coupling a medical lead toan implantable medical device, comprising: a tubular body defining acavity configured to receive a lead and an outer diameter between 1.2 mmand 5 mm; and a plurality of resiliently deflectable elements extendingfrom the tubular body into the cavity, each of the resilientlydeflectable elements having a lead contacting portion configured tocontact a lead when the lead is received in the cavity, wherein theresiliently deflectable elements are formed of a Ti-15Mo alloy materialhaving a Young's Modulus of less than 13.5 Mpsi and a mean average grainsize value of up to 30 micrometers and alpha-phase titanium in an amountup to 3 wt %.
 11. The contact ring element according to claim 10 whereinthe tubular body and the plurality of resiliently deflectable elementsform a monolithic contact ring element.
 12. The contact ring elementaccording to claim 10 wherein the Ti-15Mo alloy material has a Young'sModulus of less than 12 Mpsi and an elastic range or strain of at least0.9%.
 13. The contact ring element according to claim 10 wherein theTi-15Mo alloy material has alpha-phase titanium in a range from 0.1 to 2weight percent.
 14. The contact ring element according to claim 13wherein the tubular body is formed of the Ti-15Mo alloy material havinga Young's Modulus of less than 12 Mpsi and an elastic range upper valueor strain value in a range of 1.2 to 2.0%.
 15. The contact ring elementaccording to claim 10 wherein the tubular body has an outer diameterbetween 2.5 mm and 2.8 mm.
 16. The contact ring element according toclaim 10 wherein the tubular body has a thickness between 0.25 mm and2.5 mm.
 17. The contact ring element according to claim 10 wherein thetubular body is formed of the Ti-15Mo alloy material having a meanaverage grain size of up to 20 micrometers.
 18. A lead receptacle forelectrically coupling a medical lead to an implantable medical device,comprising: a contact ring element according to claim 1; and aninsulating ring axially aligned with the contact ring element.